Innovative Spine Center, PLLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

008568 Issued in TX

Legal business name

INNOVATIVE SPINE CENTER, PLLC

Practice address

10005 S Main St
Houston, TX 77025-5209

Phone

(713) 532-7311

Fax

(713) 532-7399

NPI assigned

Jul 21, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth Effird, DC

Title

President

Phone

(713) 532-7311

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248134400000",
    "number": "1750511069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 202575",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753202575",
            "telephone_number": "713-532-7311",
            "fax_number": "713-532-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10005 S MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255209",
            "telephone_number": "713-532-7311",
            "fax_number": "713-532-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE SPINE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A",
        "authorized_official_last_name": "EFFIRD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-532-7311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "008568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovative Prodigy'S, LLC
• Innovative R P Inc
• Innovative Radiology PA
• Innovative Renal Care - Webster, Inc.
• Innovative Senior Care Home Health of Houston LLC
• Innovative Surgical Affiliate
• Innovative Wellness Medical Clinic of Texas LLC
• Innovee Medical Therapy LLC
• Innovision Home Health Care Inc.
• Innovista Provider Group Texas PA

• Ambulatory Surgical Clinic/Center in Houston, TX
• Providers in Houston, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.